TIFFANY NGUYEN PA-C
NPI 1871138164
Physician Assistant - Surgical in San Diego, CA

Q: What is Tiffany Nguyen's NPI number?

The NPI number for Tiffany Nguyen is 1871138164. It was assigned to this individual provider in the NPPES registry on November 11, 2019.

Q: What is Tiffany Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Nguyen was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 11, 2019PECOS EnrolledAccepts Medicare Assignment

3750 CONVOY ST STE 201, SAN DIEGO, CA 92111(858) 278-8300 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2020, Nov 11, 2019 (2 updates tracked since 2019).

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About Tiffany Nguyen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY NGUYEN PA-C (NPI 1871138164) is an individual surgical provider in San Diego, California, licensed in California (PA58328) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baldwin Park, and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2020).

NPPES Registry Identity

NPI1871138164

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameTIFFANY NGUYENCredential: PA-C

Location Address3750 CONVOY ST STE 201San Diego, CA 92111-3770

Mailing Address3524 Patritti AveBaldwin Park, CA 91706-3510 · (323) 557-7619

Phone(858) 278-8300

Sole ProprietorNo

Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2020

Enumeration DateNovember 11, 2019

Last NPPES UpdateDecember 21, 20202 updates tracked since enumeration

NPPES CertifiedDecember 21, 2020

✔ NPI 1871138164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA58328

3750 CONVOY ST STE 201, San Diego, CA 92111

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Secondary Practice Location 1

Location 13524 Patritti AveBaldwin Park, CA 91706-3510 · Phone (323) 557-7619

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Nguyen Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325459233

PECOS Enrollment IDI20201125001727

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

86 services86 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

41 services41 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

38 services38 patients

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OKE ADRIAN ANAKWENZE MD

Orthopaedic Surgery (Sports Medicine)